| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
41 |
41 |
$2K |
| 99462 |
|
67 |
41 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
50 |
$1K |
| 92551 |
|
91 |
89 |
$818.10 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
52 |
52 |
$652.46 |
| 90670 |
|
104 |
91 |
$387.00 |
| 90698 |
|
80 |
69 |
$261.00 |
| 90680 |
|
72 |
62 |
$216.00 |
| 90633 |
|
28 |
27 |
$189.00 |
| 90658 |
|
49 |
31 |
$173.00 |
| 85018 |
|
102 |
102 |
$139.40 |
| 90744 |
|
24 |
19 |
$90.00 |
| 82947 |
|
14 |
14 |
$45.78 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
208 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
76 |
$0.00 |
| 81002 |
|
65 |
65 |
$0.00 |
| 99173 |
|
71 |
71 |
$0.00 |
| 80061 |
Lipid panel |
14 |
14 |
$0.00 |